Lifestyle Factors of a Five-Year Community-Intervention Program

Wendel-Vos, Wanda; Dutman, Alice E.; Verschuren, W. M. Monique; Ronckers, Emma T; Ament, André; Assema, Patricia van; Ree, Jan van; Ruland, Erik; Schuit, Albertine J.

doi:10.1016/j.amepre.2009.03.015

Cited by 53 publications

(53 citation statements)

References 26 publications

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“…Two studies from the Netherlands evaluated community interventions targeting several health behaviours (including smoking) in deprived areas 116 117. Neither found evidence of reduced smoking prevalence in these communities.…”

Section: Multi-faceted Approaches (Community-based Programmes)mentioning

confidence: 99%

Impact of tobacco control interventions on socioeconomic inequalities in smoking: review of the evidence

et al. 2013

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Section: Multi-faceted Approaches (Community-based Programmes)mentioning

confidence: 99%

Impact of tobacco control interventions on socioeconomic inequalities in smoking: review of the evidence

et al. 2013

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“…Ten studies chose a community and individual strategy 16,17,18,19,20,21,22,23,24,25 based on social learning, diffusion of innovation, social development, persuasive communication, and models involving community leaders and institutions. These studies shared similar hypotheses, although with distinct characteristics, about the roles of individuals, communities, and the physical and social environment.…”

Section: Resultsmentioning

confidence: 99%

Primordial and primary prevention programs for cardiovascular diseases: from risk assessment through risk communication to risk reduction. A review of the literature

Lancarotte

Nobre

2016

Clinics

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The aim of this study was to identify and reflect on the methods employed by studies focusing on intervention programs for the primordial and primary prevention of cardiovascular diseases. The PubMed, EMBASE, SciVerse Hub-Scopus, and Cochrane Library electronic databases were searched using the terms ‘effectiveness AND primary prevention AND risk factors AND cardiovascular diseases’ for systematic reviews, meta-analyses, randomized clinical trials, and controlled clinical trials in the English language. A descriptive analysis of the employed strategies, theories, frameworks, applied activities, and measurement of the variables was conducted. Nineteen primary studies were analyzed. Heterogeneity was observed in the outcome evaluations, not only in the selected domains but also in the indicators used to measure the variables. There was also a predominance of repeated cross-sectional survey design, differences in community settings, and variability related to the randomization unit when randomization was implemented as part of the sample selection criteria; furthermore, particularities related to measures, limitations, and confounding factors were observed. The employed strategies, including their advantages and limitations, and the employed theories and frameworks are discussed, and risk communication, as the key element of the interventions, is emphasized. A methodological process of selecting and presenting the information to be communicated is recommended, and a systematic theoretical perspective to guide the communication of information is advised. The risk assessment concept, its essential elements, and the relevant role of risk perception are highlighted. It is fundamental for communication that statements targeting other people’s understanding be prepared using systematic data.

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“…Difficulties in modifying these two risk factors, as well as the fact that they are affected by many other factors, may play a role here (23).…”

Section: Discussionmentioning

confidence: 99%

Application of healthy heart program in the two semi-rural areas in Eskişehir

Arıkan¹,

Metintaş²,

Kalyoncu³

2011

Anadolu Kardiyol Derg

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ÖZETAmaç: Çalışma Eskişehir'in yarı kırsal iki bölgesinde halkta kardiyovasküler hastalık (KVH) risk faktörleri konusunda, uygun davranış değişikliğini sağlamak ve bu konuda farkındalığı arttırmak amacıyla planlandı. Yöntemler: Bu çalışma yarı deneysel bir çalışma olup, iki aşamalı olarak planlandı. Çalışmanın ilk aşamasında evler ziyaret edildi. Müdahale ve kontrol bölgelerinde bireylere Framingham risk skorlarının (FRS) yazıldığı katılım formları dağıtıldı. Diğer eğitim materyalleri ise müdahale bölgesine dağıtıldı. İkinci aşama yuvalandırılmış vaka-kontrol çalışması şeklinde planlandı. Birinci aşama 2766 kişide, ikinci aşama 778 kişide gerçekleşti. Verilerin değerlendirmesinde bağımsız gruplarda Pearson Ki-kare ve bağımsız örneklem Student t-testi, bağımlı gruplarda Mc-Nemar Ki-kare ve eşleştirilmiş t-testi uygulandı. Bulgular: Birinci aşamada Framingham Risk puanının %10'un üzerinde olma sıklığı kontrol bölgesinde erkeklerde %22.9, kadınlarda %14.9, müda-hale bölgesinde erkeklerde %26.2, kadınlarda %18.1 olup puanlama açısından erkek ve kadınlarda kontrol ve müdahale bölgeleri arasında bir fark bulunamadı (p>0.05). İkinci aşamada müdahale bölgesinde erkeklerde %15.4 (p<0.001), kadınlarda %10.2'lik bir azalma saptanırken (p<0.001), kontrol bölgesinde erkeklerde %8.2 (p=0.011), kadınlarda %3.8'lik bir artış bulundu (p=0.078). Sonuç: Yirmi yaş üzeri bireylere KVH ve risk faktörleri açısından eğitim verilmesinin KVH risk faktörlerinin azaltılmasında etkin bir yöntem olduğu bulundu. (Anadolu Kardiyol Derg 2011; 11: 485-91) Anahtar kelimeler: Kardiyovasküler hastalık, toplum tabanlı korunma, müdahale, sağlık eğitimi ABSTRACT Objective: The purpose of this study was to raise awareness of people in two semi-rural regions of Eskişehir in terms of cardiovascular diseases (CVD) risk factors and to promote related heart-healthy behaviors. Methods: The study was a semi-experimental intervention and featured as a two-phase design. In the first phase of the study, participants received visits at home. Individuals in intervention and control areas were given a participation form that indicated the Framingham Risk Score (FRS). Other training materials were distributed throughout the intervention area. The second phase was planned as a nested case-control study. The first phase included 2.766 persons and the second phase included 778 persons. In the evaluation of the data the Pearson Chi-square and Student's t-test for independent samples, Mc-Nemar Chi-square and the paired t-test for dependent samples were applied. Results: During the first phase, the frequency of FRS metrics above 10% was 26.2% for males, 18.1% for females in the intervention area, 22.9% for males, and 14.9% for females in the control area. There was no difference between males and females in terms of scoring for control and intervention areas (p>0.05). Based on the FRS data, the second phase revealed a decrease of 15.4% in males (p<0.001) and 10.2% in females (p<0.001) in the intervention area and an increase of 8.2% in males (p=0.011) and 3.8% in females ...

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Lifestyle Factors of a Five-Year Community-Intervention Program

Cited by 53 publications

References 26 publications

Impact of tobacco control interventions on socioeconomic inequalities in smoking: review of the evidence

Impact of tobacco control interventions on socioeconomic inequalities in smoking: review of the evidence

Primordial and primary prevention programs for cardiovascular diseases: from risk assessment through risk communication to risk reduction. A review of the literature

Application of healthy heart program in the two semi-rural areas in Eskişehir

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